Provider Demographics
NPI:1295909844
Name:RICK HENSLEY DMD II PA DBA MT VIEW FAMILY DENTISTRY
Entity type:Organization
Organization Name:RICK HENSLEY DMD II PA DBA MT VIEW FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:828-294-1448
Mailing Address - Street 1:3055 S 127 NC HWY
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8284
Mailing Address - Country:US
Mailing Address - Phone:828-294-1448
Mailing Address - Fax:828-294-1874
Practice Address - Street 1:3055 S NC 127 HWY
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8284
Practice Address - Country:US
Practice Address - Phone:828-294-1448
Practice Address - Fax:828-294-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC86851223G0001X
NCNC58771223G0001X
NCNC66761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1972614600OtherINDIVIDUAL NPI
NC1497981344OtherINDIVIDUAL NPI
NC5910817Medicaid
1528086428OtherINDIVIDUAL NPI
NC5910047Medicaid
NC899003YMedicaid
NC1477711539OtherINDIVIDUAL NPI